Published Date: 2009-01-26 21:00:43
Subject: PRO/EDR> Cholera, diarrhea & dysentery update 2009 (10)
Archive Number: 20090126.0355
CHOLERA, DIARRHEA & DYSENTERY UPDATE 2009 (10)
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A ProMED-mail post
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ProMED-mail is a program of the
International Society for Infectious Diseases
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In this update:
Africa
[1] Cholera - Zimbabwe: WHO
[2] Cholera - Zimbabwe
[3] Gastroenteritis, fatal - Nigeria (Ebonyi)
[4] Dysentery - Sudan (Lakes State)
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[1] Cholera - Zimbabwe: WHO
Date: Sun 25 Jan 2009
Source: UN Office for the Coordination of Humanitarian Affairs
(OCHA), ReliefWeb, Government of Zimbabwe; WHO report [edited]
<http://reliefweb.int/rw/rwb.nsf/db900SID/MSAO-7NN44V?OpenDocument>
Zimbabwe: daily cholera update and alerts, 25 Jan 2009
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Highlights of the day:
- 655 cases and 26 deaths added today (in comparison 1906 cases and
21 deaths yesterday [24 Jan 2009)
- 36.2 percent of the districts affected have reported today (21 out
of 58 affected districts)
- 88.7 percent of districts reported to be affected (55 districts/62)
- Revised figures for Bindura deaths from 19 to 21
- Cumulative institutional case fatality rate 2.2 percent
- Daily institutional case fatality rate 1.9 percent
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[The total number of cases reported in the full report at
<http://reliefweb.int/rw/rwb.nsf/db900sid/MSAO-7NN44V/$File/full_report.pdf>
is now 53 306, and the total fatality count has risen to 2872. In the
4 days since ProMED-mail's last posting, the cases have risen by 4683
and the fatalities by 117. The outbreak continues to spread to new
areas and the overall case fatality rate, reflecting the overall poor
conditions in the country, remains very high at 5.4 percent.
A map of Zimbabwe with provinces can be found at
<http://www.un.org/Depts/Cartographic/map/profile/zimbabwe.pdf>.
The HealthMap/ProMED-mail interactive map of Zimbabwe is available at
<http://healthmap.org/promed/en?v=-19,29.9,6>. - Mod.LL]
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[2] Cholera - Zimbabwe
Date: Thu 22 Jan 2009
Source: BBC News [edited]
<http://news.bbc.co.uk/2/hi/africa/7844417.stm>
The main impact of Zimbabwe's cholera epidemic has shifted from urban
areas to rural areas, making its containment much harder, a medical
charity says. Medecins Sans Frontieres [MSF] told the BBC that the
disease was spreading to remote areas, while cases in some urban
areas, like Harare, were decreasing.
The rainy season could lead to even more infections, as water sources
become contaminated, aid workers warn. MSF Zimbabwe representative
Manuel Lopez said that small villages off the main roads were now
being affected following the Christmas holidays [2008], when urban
residents went home.
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
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[3] Gastroenteritis, fatal - Nigeria (Ebonyi)
Date: Thu 22 Jan 2009
Source: Xinhua News Agency [edited]
<http://news.xinhuanet.com/english/2009-01/22/content_10703449.htm>
An outbreak of a disease suspected to be gastroenteritis has claimed
an unofficial figure of 15 lives in Ndiagu-Amagu village in Ikwo
Local Government Area of Ebonyi this month [January 2009], the News
Agency of Nigeria reported on Thursday [22 Jan 2009].
Sunday Nwangele, state commissioner for health announced in Abakaliki
that 6 of the dead were male and 9 female including 5 children. He
attributed the outbreak, which infected some 120 persons, to intake
of contaminated water following the breakdown of the three boreholes
in the area.
Local media last week [week of 12 Jan 2009] reported that at least 41
children died of gastroenteritis in another community in southeastern
Nigeria's Ebonyi State [which was referred to as cholera in one
report - Mod.LL]. The disease was said to have started some weeks ago
and to have gradually grown into epidemic with children between one
to 10 being the mostly affected, with some in critical condition.
--
Communicated by:
HealthMap Alerts via ProMED-mail
<promed@promedmail.org>
[Ebonyi State is an inland south eastern state of Nigeria and is one
of the 6 new states in Nigeria created in 1996; Ebonyi was created
from the of old Abakaliki division of Enugu State and old Afikpo
division of Abia State.
The area of Nigeria mentioned can be found on a map at
<http://en.wikipedia.org/wiki/Ebonyi_State>.
The HealthMap/ProMED-mail interactive map of Nigeria is available at
<http://healthmap.org/promed/en?g=2595345&v=8.25,10.083,5>. - Mod.LL]
******
[4] Dysentery - Sudan (Lakes State)
Date: Fri 16 Jan 2009 15:21:16 +0100 (CET)
From: Ruth Jonathan <ruthjonathan@xs4all.nl>
We have seen quite a few cases with dysentery in Rumbek, Rumbek State
Hospital, South Sudan recently. Patients were sick with fever and
abdominal pain.
With antibiotic treatment they seem to recover well after some days,
however it has caused quite a few premature deliveries in pregnant
women, with their babies dying from prematurity. Unfortunately there
is no possibility to do culture or sensitivity analysis.
--
Dr Ruth Ay-Lian Jonathan
Medical officer
Rumbek Lake State Hospital
<ruthjonathan@xs4all.nl>
[This moderator apologizes for the delay in posting this report.
ProMED-mail thanks Dr Jonathan for this first-hand report of
gastrointestinal illness in Rumbek, the capital of the Lakes State,
which can be found on a map at
<http://www.un.org/Depts/Cartographic/map/profile/sudan.pdf>.
The HealthMap/ProMED-mail interactive map of Sudan is available at
<http://healthmap.org/promed/en?g=367927&v=11.8,29.683,5>.
The outbreaks reported in this update can also be found on the
HealthMap/ProMED-mail interactive map at
<http://www.healthmap.org/promed/en>. - Mod.LL]
See Also
Cholera, diarrhea & dysentery update 2009 (09) 20090122.0275Cholera, diarrhea & dysentery update 2009 (08) 20090120.0245
Cholera, diarrhea & dysentery update 2009 (07) 20090116.0182
Cholera, diarrhea & dysentery update 2009 (06) 20090113.0140
Cholera, diarrhea & dysentery update 2009 (05) 20090112.0124
Cholera, diarrhea & dysentery update 2009 (04) 20090110.0107
Cholera, diarrhea & dysentery update 2009 (03) 20090107.0061
Cholera, diarrhea & dysentery update 2009 (02) 20090105.0038
Cholera, diarrhea & dysentery update 2009 (01) 20090102.0015
2008
----
Cholera, diarrhea & dysentery update 2008 (57) 20081231.4125
Cholera, diarrhea & dysentery update 2008 (50) 20081208.3854
Cholera, diarrhea & dysentery update 2008 (30) 20080702.2019
Cholera, diarrhea & dysentery update 2008 (10) 20080212.0563
Cholera, diarrhea & dysentery update 2008 (01) 20080104.0047
2007
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Cholera, diarrhea & dysentery update 2007 (67) 20071231.4200
Cholera, diarrhea & dysentery update 2007 (60) 20071126.3824
Cholera, diarrhea & dysentery update 2007 (40) 20070924.3164
Cholera, diarrhea & dysentery update 2007 (20) 20070511.1509
Cholera, diarrhea & dysentery update 2007 (01) 20070105.0047
2006
----
Cholera, diarrhea & dysentery update 2006 (52) 20061229.3646
Cholera, diarrhea & dysentery update 2006 (50) 20061215.3528
Cholera, diarrhea & dysentery update 2006 (30) 20060724.2037
Cholera, diarrhea & dysentery update 2006 (10) 20060303.0675
Cholera, diarrhea & dysentery update 2006 (01) 20060106.0040
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